Chanler-Berat Jordan, Birungi Alfunsi, Dreifuss Brad, Mbiine Ronald
Department of Emergency Medicine, New York Methodist Hospital, Brooklyn, NY, USA.
Nyakibale Hospital, Uganda.
Afr J Emerg Med. 2016 Mar;6(1):44-46. doi: 10.1016/j.afjem.2015.09.004. Epub 2016 Jan 4.
Point-of-care ultrasound (POCUS) in resource-limited areas has demonstrated utility in the hands of physicians and may be useful for non-physician providers to learn as well.
An 11 year old male presented with abdominal pain and diffuse abdominal tenderness to a remote Emergency Centre (EC). An Emergency Care Practitioner, a non-physician emergency care provider with limited ultrasound training, used bedside ultrasonography and alerted the on-call surgeon of complex intraperitoneal fluid representing perforated typhoid, which expedited the patient's care.
There is scant literature involving cases of non-physician use of POCUS, particularly in the emergency care setting. This case demonstrates the potential benefits of training these providers in POCUS.
在资源有限的地区，即时超声检查（POCUS）已在医生手中展现出实用性，对非医生医疗人员来说学习使用可能也很有用。
一名11岁男性因腹痛和全腹压痛就诊于一家偏远的急救中心（EC）。一名急救护理从业者，一名接受过有限超声培训的非医生急救人员，使用床边超声检查，并提醒值班外科医生存在提示伤寒穿孔的复杂腹腔内积液，从而加快了对该患者的救治。
关于非医生使用POCUS的病例，尤其是在急救环境中的相关文献很少。本病例展示了对这些医疗人员进行POCUS培训的潜在益处。
